Healthcare Provider Details

I. General information

NPI: 1023787629
Provider Name (Legal Business Name): TENNESSEE OSTEOPATHIC INSTITUTE, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2021
Last Update Date: 09/08/2021
Certification Date: 09/08/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 S CONCORD ST STE 102
KNOXVILLE TN
37919-3339
US

IV. Provider business mailing address

601 S CONCORD ST STE 102
KNOXVILLE TN
37919-3339
US

V. Phone/Fax

Practice location:
  • Phone: 865-440-8759
  • Fax:
Mailing address:
  • Phone: 865-440-8759
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code204D00000X
TaxonomyNeuromusculoskeletal Medicine & OMM Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JOHN C COPPINGER
Title or Position: PRESIDENT
Credential: D.O.
Phone: 865-440-8759